ENS 46617

v t e ENS Event
22:30 Feb 15, 2011
Title	Agreement State Report - Possible Medical Event Due to Misadministration
Event Description	This is a preliminary report. Details will be provided at a later date. During a general chart review, the licensee discovered that two pediatric patients were administered doses of P-32 albumin that appear to be in excess of 100% of the prescribed doses. The first event occurred approximately four months ago. The second event occurred approximately two months ago. These events may have each provided 1000 Rads excess dose to target tissue. The events may or may not involve a dispensing error. The doses were administered to tissue surrounding extremity joints of the two pediatric patients. Physicians do not expect any patient impact or unfavorable outcome from these misadministration. A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.

ENS 46617 +/-
Where
Ut Southwestern Medical Center Dallas, Texas (NRC Region 4)
License number:	LO 0279
Organization:	Texas Department Of Health
Reporting

Agreement State
Time - Person (Reporting Time:+-3.13 h-0.13 days <br />-0.0186 weeks <br />-0.00429 months <br />)
Opened:	Danny Jisha 19:22 Feb 15, 2011
NRC Officer:	Donald Norwood
Last Updated:	Feb 15, 2011
46617 - NRC Website
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v t e Emergency Notification System
Ut Southwestern Medical Center with Agreement State
WEEKMONTHYEAR2011-02-15T22:30:00 [Table view]
[ENS list for Ut Southwestern Medical Center]

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